Healthcare Provider Details

I. General information

NPI: 1093468225
Provider Name (Legal Business Name): HSR MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2022
Last Update Date: 02/11/2022
Certification Date: 02/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2838 SPID DR
CORPUS CHRISTI TX
78415-1810
US

IV. Provider business mailing address

402 CAPE HATTERAS DR
CORPUS CHRISTI TX
78412-2666
US

V. Phone/Fax

Practice location:
  • Phone: 361-236-5446
  • Fax:
Mailing address:
  • Phone: 361-236-5446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBERT S HARBOLOVIC
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 361-236-5446